Analysis of risk factors for acute ischemic stroke-associated pneumonia and the predictive value of AIS-APS score
Objective:To investigate the risk factors analysis of acute ischemic stroke(AIS)associated pneumo-nia(SAP)and the predictive value of AIS-APS score.Methods:160 AIS patients were selected as the study objects,and divided into SAP group(n=70)and non-SAP group(n=90)according to whether SAP infection occurred.The risk factors of AIS patients with SAP infection and multi-factor Logistic regression analysis were analyzed,sputum samples of AIS patients were collected,specimen sources were recorded,and strains were identified.ROC curve was used to analyze the predictive value of AIS-APS score in AIS patients with SAP infection.Results:Age,diabetes mel-litus,chronic obstructive pulmonary disease,NIHSS score＞8 at admission and AIS-APS score were the risk factors for AIS patients with SAP(all P＜0.05).A total of 85 strains of pathogenic bacteria were detected in 70 patients in-fected with SAP,of which 56 strains of Gram-negative bacteria accounted for 65.88％,followed by 16 strains of Gram-positive bacteria accounting for 18.82％,and 13 strains of fungi accounting for 15.29％.ROC curve analysis showed that AIS-APS score predicted ASP infection in AIS patients with AUC of 0.75,sensitivity of 85.71％,speci-ficity of 74.29％(all P＜0.05).Conclusion:Age,diabetes mellitus,chronic obstructive pulmonary disease,NIHSS score＞8 at admission and AIS-APS score are risk factors affecting the occurrence of SAP in AIS patients.Ais-aps score is an effective tool for predicting SAP infection in AIS patients,and can be applied and promoted in clinical practice.
万方数据
维普
